Connolly and Reb (2011) failed to replicate omission bias in the scenario of vaccination. In their experiment, the majority of participants expressed willingness to vaccinate when facing the risk of side effect and they attributed such decisions to 'regret-avoiding choice' (action to avoid worse risks of inaction). Researchers reviewed Baron and Ritov's experiment in 1990 and criticized the fill-in-the-blank format and matching, measures of participants' acceptance of risky vaccination in previous experiments, for the cause of confusion and involvement extreme responses. Researchers, therefore, argued that the generalization of omission bias should be treated with caution. Similar counterexamples are found in cross-cultural background. In the research of rural
Mayan population, participants did not judge harmful commissions as worse than omissions. This is partly because of the distinct cultural belief that Mayan regards negative outcome as a step to greater good instead of an avoidable side effect. Furthermore, even in the Western population, omission bias is argued to become a contextual phenomenon, especially when considering the converse example of
action bias. Action bias is a preference of commission even when omission produces more benefit. According to Patt et al. (2000), omission bias and action bias can be seen as dichotomy of dual outcomes: omission bias works when outcome is negative, and action bias works when it is positive. Because of this underlying rational reason, Descrioli et al. further described the preference of omission as a strategy, instead of a bias. ==See also==